Correction of Tetralogy of Fallot through Right Subaxillary Mini-incision Approach:Clinical Analysis of 253 Cases
Objective:To summarize the experience of anatomic correction of 253 patients with Tetralogy of Fallot (TOF) by right minimal thoracotomy. Methods:253 patients with TOF received correction by right minimal thoracotomy (group R) , whose clinical data were retrospectively analyzed. In the same period, Other 210 patients with TOF, who accepted radical correction through a middlemost approach, served as control group (group C). Results:There was not statistical difference between group R and C in consuming times of cardiop-ulmonary bypass, aortic clamping and mechanical ventilation, operative mortality and incidence of main complications ( P > 0.05). The draining volume during the first 24 h in group R was less than that in group C ( P < 0. 05). Conclusions:The right minimal thoracotomy has advantages of less damage, inconspicuous scar, remaining sternal integrality, preventing occurrence of pigeon breast following the thoracotomy through a middlemost approach. This operative approach could meet the requirement of correction of most TOF.
Congenital cardiopathyTetralogy of FallotMinimal invasionSubaxillaryMini-incision
NETL
NSTL
万方数据
维普
